Questioning Photovoice Research Evans-Agnew, Robin A.; Rosemberg, Marie-Anne S.
Qualitative health research,
07/2016, Letnik:
26, Številka:
8
Journal Article
Recenzirano
Odprti dostop
Photovoice is an important participatory research tool for advancing health equity. Our purpose is to critically review how participant voice is promoted through the photovoice process of taking and ...discussing photos and adding text/captions. PubMed, Scopus, PsycINFO, and Web of Science databases were searched from the years 2008 to 2014 using the keywords photovoice, photonovella, photovoice and social justice, and photovoice and participatory action research. Research articles were reviewed for how participant voice was (a) analyzed, (b) exhibited in community forums, and (c) disseminated through published manuscripts. Of 21 studies, 13 described participant voice in the data analysis, 14 described participants’ control over exhibiting photo-texts, seven manuscripts included a comprehensive set of photo-texts, and none described participant input on choice of manuscript photo-texts. Photovoice designs vary in the advancement of participant voice, with the least advancement occurring in manuscript publication. Future photovoice researchers should expand approaches to advancing participant voice.
Background
Immigrants comprise over 40% of the low‐wage workforce. They are more likely to be employed in service industries, paid less, and experience more illness and injuries than their native ...counterparts.
Design/Objective
The aim of this cross‐sectional pilot study was to explore the relationship between immigrant workers' stressors and health.
Sample
Twenty‐five female Mexican immigrant hotel workers.
Measurements
Surveys and blood samples were analyzed and compared to national data. Descriptive statistics and linear regression were used for analysis.
Results
Longer length of stay, older age at migration, and higher Demands of Immigration (DI) were significantly associated with more chronic conditions. Higher DI were significantly associated with more depressive symptoms. This is comparable to national data (n = 468) which shows a significant relationship between length of stay, Allostatic Load (AL), and chronic conditions (β = 0.14, p = .043; β = 0.13, p = .025).
Conclusions
Immigrant‐specific factors affect individuals’ health. More studies are needed to further explore the relationship between DI and health among foreign‐born workers.
Aims
The aim of this study was to determine the optimal allostatic load scoring method.
Design
This is a secondary analysis of data on women of reproductive age from the 2001–2006 National Health and ...Nutrition Examination Survey.
Methods
We created allostatic load summary scores using five scoring methods including the count‐based, Z‐Score, logistic regression, factor analysis and grade of membership methods. Then, we examined the predictive performance of each allostatic load summary measure in relation to three outcomes: general health status, diabetes and hypertension.
Results
We found that the allostatic load summary measure by the logistic regression method had the highest predictive validity with respect to the three outcomes. The logistic regression method performed significantly better than the count‐based and grade of membership methods for predicting diabetes as well as performed significantly better for predicting hypertension than all of the other methods. But the five scoring methods performed similarly for predicting poor health status.
Conclusion
We recommended the logistic regression method when the outcome information is available, otherwise the frequently used simpler count‐based method may be a good alternative.
Impact
The study compared different scoring methods and made recommendations for the optimal scoring approach. We found that allostatic load summary measure by the logistic regression method had the strongest predictive validity with respect to general health status, diabetes and hypertension. The study may provide empirical evidence for future research to use the recommended scoring approach to score allostatic load. The allostatic load index may serve as an ‘early warning’ indicator for health risk.
目的
这项研究的目的在于,确定最佳适应负荷评分方法。
设计
这是对2001年至2006期间全国健康和营养检查调查中育龄妇女数据的二次分析。
方法
我们使用了五种评分方法(包括基于计数法、Z计分法、逻辑回归法、因子分析法和隶属度方法)来创建了适应负荷汇总分数。然后,我们检查了与三个结果相关的各种适应负荷汇总数值的预测性能:整体健康状态、糖尿病和高血压。
结果
我们发现,逻辑回归法的适应负荷汇总分数对这三个结果具有最高的预测效度。逻辑回归法在预测糖尿病方面的表现明显优于基于计数法和隶属度方法,在预测高血压方面的表现也明显优于所有其他方法。但这五种评分方法在预测不良健康状态方面的表现相似。
结论
当结果资料可用时,我们推荐逻辑回归法,在其他方面,常用且更简单的基于计数法可能也是一个不错的选择。
影响
该研究比较了不同的评分方法,并提出了最佳评分方法的建议。我们发现用逻辑回归法进行的适应负荷汇总分数对整体健康状态、糖尿病和高血压具有最强的预测有效性。该研究可以为今后使用推荐的评分方法对所有适应负荷评分提供实验性证据。适应负荷指数可以作为健康风险的“预警”指标。
Aims and objectives
To elucidate the historical development of the allostatic load concept, alongside its use in nursing research, and to explore how allostatic load has been investigated among two ...stress‐vulnerable populations.
Background
‘Stress’ is a prominent term in understanding the development of disease. Allostatic load is among several approaches undertaken to quantify the magnitude of stress and understand how stress can affect health.
Method
We explored the advent of allostatic load including its antecedents, and consequences. We used an exemplar case to apply the concept. We reviewed studies that used allostatic load among workers and women of childbearing age.
Results
There remains a need to consolidate a common definition and operationalisation of allostatic load. Despite this need for further work, allostatic load is a good fit for nursing science which focuses on the client, environment and health. Only 12 studies explored allostatic load among workers (n = 6) and women of childbearing age (n = 6). In some studies, allostatic load was used as a predictor while in others it was used as an outcome. None of the studies considered it as a mediator.
Conclusions
The concept of allostatic load holds promise for nursing researchers to operationalise a holistic view of multiple stressors and to quantify their effects on health. Studies are needed to affirm the role of allostatic load as a potential mediator between multiple stressors and outcomes. Longitudinal studies are also needed to demonstrate a causal pathway from stressor exposure to tertiary outcomes such as chronic conditions and morbidity.
Relevance to clinical practice
Allostatic load is a useful concept for nurses working with stress‐vulnerable populations. With the use of an interpretable allostatic load index, nurses will be able to intervene at various stages of the allostasis–adaptation process (stress‐response) and adjust interventions accordingly.
Allostatic load (AL) is the manifestation of cumulative responses to chronic stress exposure. Numerous studies have shown the importance of AL in understanding disease risks. Yet little is known ...about existing interventions that target AL specifically. We aimed to address this gap by identifying interventions targeting AL and determining the success of these interventions in improving biological functioning. We searched five electronic databases using variations of two concepts: AL and programs or interventions. We included original research reports that focused on AL as an outcome. We excluded work that focused on a single indicator, not written in English or did not implement an intervention. The Template for Intervention Description and Replication checklist guided our intervention critique and synthesis. Six articles were included, with sample size across the interventions ranging between 2 and 733. Despite inconsistencies in the selection of AL indicators and scoring of AL, all four body systems were represented in all the studies. Four interventions showed significant improvement in Al (as indicated by a decrease in AL score) as early as 7 weeks. More interventions targeting Al are needed. The reduction in AL scores among four of the six interventions suggests that Al could be a biological outcome measure that is sensitive to change in response to interventions. This has significant clinical and research implications. Future studies are needed to examine whether AL serves as a mediator in the effects of the intervention on improving clinical manifestations of diseases.
Nurses have always played an essential role during epidemics, risking their lives caring for sick and dying patients. However, the unprecedented nature of the novel coronavirus disease 2019 ...(COVID-19) has left organizations and healthcare professionals ill-prepared and under-equipped to manage the severity, manifestations, and acute and long-term implications. While COVID-19 has presented profound physical and mental health implications for nurses, we know little about nurses’ professional experiences within their organizational context. Thus, this qualitative descriptive study fills that gap through in-depth exploration of nurses’ shared professional experiences working in hospitals during the first surge of COVID-19 in the United States. Twenty-two nurses were interviewed via telephone during April and May 2020. Through thematic analysis four main themes emerged: (1) fear, (2) collective resilience through shared trauma, (3) uncharted territory, and (4) perceived disposability. Nurses felt ill-praepared for the rapid changes wrought by COVID-19; yet they also felt proud with a renewed sense of meaning in their work. While unit colleagues were a great source of strength, nurses still reported disappointment, even feeling abandoned by their organizations. Our study indicates that nurses relied on one another to cope and find meaning. These findings are invaluable for policy development and the establishment of preventive and early intervention strategies. Done right, such efforts could better support nurses by encouraging team building, protection, and rewards to maintain nurses’ wellbeing during such outbreaks and in their aftermath. Organizations also ought to make nurses’ health and wellbeing a priority by streamlining communication, transparency, and leadership visibility.
Background
Nail salon workers are an underserved population exposed to various occupational hazards. Comprised primarily of women and immigrants, these workers face challenges that further increase ...their workplace exposures and adverse health outcomes. Though previous studies have noted nail salon workers’ exposures, these studies have yet to explore the workers’ insights on intervention needs. This study among Michigan nail salon workers addresses this gap.
Methods
This qualitative study was informed by the phenomenology methodological framework anchored within critical social theory. Participants were recruited from nail salons in Southeast Michigan to partake in focus groups. Interviews were recorded, transcribed, and analyzed using content analysis.
Results
Three focus groups were conducted with 13 participants. Three major categories emerged. The first category, workers’ perceived work-related stressors, included six themes: lack of standardized policies, regulations, education/training; disconnect between education/training and real-world practice; inadequate knowledge on exposures and safety protocols; unsafe nail products; customer pressure; and immigrant-related pressures. The second category, health issues perceived to be directly related to workplace exposures, included two themes: symptoms experienced due to contact with nail products and symptoms due to poor ergonomics. The third category, participants’ perceived intervention needs, included four themes: continuing education; updates with new products; communication with key stakeholders; and partnership building and resource access.
Conclusions
To our knowledge, this is the first qualitative study among U.S. nail salon workers focused in Midwest. In addition to the noted individual and organizational-level interventions, policy level implications are discussed given discrepancies in training and practices across states.
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